PMID- 26640754
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20151207
LR  - 20200929
IS  - 2193-1801 (Print)
IS  - 2193-1801 (Electronic)
IS  - 2193-1801 (Linking)
VI  - 4
DP  - 2015
TI  - A model for delivering subspecialty pediatric surgical care in low- and 
      middle-income countries: one organization's early experience.
PG  - 742
LID - 10.1186/s40064-015-1528-z [doi]
LID - 742
AB  - Delivery of humanitarian global surgical aid to low-middle income countries 
      (LMICs) often occurs as a "fly-in, fly-out" marathon of operations. 
      Unfortunately, the sustainability and efficacy of these missions remain 
      questionable because they are difficult to reproduce and they have limited 
      ability to provide peri-operative care. The goal of this project was to describe 
      the Moore Pediatric Surgery Center (MPSC) in Guatemala City as an alternative 
      model that provides a centralized structure to the interaction between surgical 
      providers and patients in the operative and peri-operative periods. We also 
      describe the Center's patient population and present feedback from surgical teams 
      visiting the MPSC. A retrospective chart review was performed to quantify the 
      number of patients, procedures, and post-operative complications at the MPSC 
      between January 2011 and December 2014. We also performed a cross-sectional 
      sociodemographic survey of MPSC patients and conducted a satisfaction survey of 
      patients and surgical team members visiting the Center. Since 2011, the MPSC has 
      hosted 42 surgical teams representing 7 different specialties. During its first 
      four years, the surgery center hospital performed 2260 operations with a 1.07 % 
      peri-operative complication rate and 0 % peri-operative mortality rate. All 
      surgeries were performed free-of-charge to children from low-income households. 
      Furthermore, the MPSC was rated highly among visiting team members (range 4.5-6 
      on a 7-point Likert scale) for quality metrics including organization, physical 
      space, and collaboration with local staff. The MPSC represents a model for 
      delivering multi-specialty surgical aid in low- and middle-income countries by 
      providing modern surgical facilities with quality-assured post-operative care for 
      the treatment of childhood surgical diseases.
FAU - Merceron, Tyler K
AU  - Merceron TK
AD  - Vanderbilt University School of Medicine, Nashville, TN USA.
FAU - Figueroa, Ligia
AU  - Figueroa L
AD  - Centro Quirurgico Pediatrico Moore, Guatemala City, Guatemala.
FAU - Eichbaum, Quentin E
AU  - Eichbaum QE
AD  - Vanderbilt University School of Medicine, Nashville, TN USA ; Vanderbilt 
      Institute for Global Health, Nashville, TN USA ; Department of Pathology, 
      Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20151127
PL  - Switzerland
TA  - Springerplus
JT  - SpringerPlus
JID - 101597967
PMC - PMC4662669
OTO - NOTNLM
OT  - Global surgery
OT  - Guatemala
OT  - Moore Pediatric Surgery Center
OT  - Pediatric surgery
EDAT- 2015/12/08 06:00
MHDA- 2015/12/08 06:01
PMCR- 2015/11/27
CRDT- 2015/12/08 06:00
PHST- 2015/04/02 00:00 [received]
PHST- 2015/11/11 00:00 [accepted]
PHST- 2015/12/08 06:00 [entrez]
PHST- 2015/12/08 06:00 [pubmed]
PHST- 2015/12/08 06:01 [medline]
PHST- 2015/11/27 00:00 [pmc-release]
AID - 1528 [pii]
AID - 10.1186/s40064-015-1528-z [doi]
PST - epublish
SO  - Springerplus. 2015 Nov 27;4:742. doi: 10.1186/s40064-015-1528-z. eCollection 
      2015.